Common use of Definition of Reportable Event Clause in Contracts

Definition of Reportable Event. For purposes of this CIA, a “Reportable Event” means anything that involves: a. a substantial Overpayment; b. a matter that a reasonable person would consider a probable violation of criminal, civil, or administrative laws applicable to any Federal health care program for which penalties or exclusion may be authorized; c. a matter that a reasonable person would consider a probable violation of the obligation to provide items or services of a quality that meets professionally recognized standards of health care where such violation has occurred in one or more instances and presents an imminent danger to the health, safety, or well-being of a Federal health care program beneficiary or places the beneficiary unnecessarily in high-risk situations; d. the employment of or contracting with a Covered Person who is an Ineligible Person as defined by Section III.G.1.a; or e. insolvency or a matter that a reasonable person would consider likely to render Extendicare insolvent. A Reportable Event may be the result of an isolated event or a series of occurrences.

Appears in 3 contracts

Samples: Corporate Integrity Agreement, Corporate Integrity Agreement, Corporate Integrity Agreement

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Definition of Reportable Event. For purposes of this CIA, a “Reportable Event” means anything that involves: a. a substantial Overpayment; b. a matter that a reasonable person would consider a probable violation of criminal, civil, or administrative laws applicable to any Federal health care program for which penalties or exclusion may be authorized; c. a matter that a reasonable person would consider a probable violation of the obligation to provide items or services of a quality that meets professionally recognized standards of health care where such violation has occurred in one or more instances and presents an imminent danger to the health, safety, or well-being of a Federal health care program beneficiary or places the beneficiary unnecessarily in high-high- risk situations; d. the employment of or contracting with a Covered Person who is an Ineligible Person as defined by Section III.G.1.a; or e. insolvency the filing of a bankruptcy petition by CCH Group or a matter that a reasonable person would consider likely to render Extendicare insolventCCH of New York. A Reportable Event may be the result of an isolated event or a series of occurrences.

Appears in 1 contract

Samples: Corporate Integrity Agreement

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